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首页> 外文期刊>Journal of Nursing Education and Practice >Identifying clinical and educational difficulties of midwives in an Indonesian government hospital maternity ward: Towards improving childbirth care
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Identifying clinical and educational difficulties of midwives in an Indonesian government hospital maternity ward: Towards improving childbirth care

机译：确定印度尼西亚政府医院产科病房中助产士的临床和教育困难：改善分娩护理

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Objective: This pilot study aimed to describe the difficulties and educational needs of Indonesian midwives working in a government hospital and thereby propose possible solutions towards improving the quality of childbirth care.Methods: This study had a qualitative exploratory design. Focus group discussions were conducted with 22 Indonesian midwives working in a government hospital. Data were analyzed using content analysis.Results: These Indonesian midwives felt they faced difficulties in providing quality care such as “shortage of resources to provide health services”, “lack of resources for professional continuing education”, “insufficient evidence-based practice”, “difficulty in providing care due to cultural background”, and “challenges teaching students”. Therefore, these difficulties contributed to their uncertainty about the quality of the care they could provide. They desired continuing education to update their knowledge and skills and fill the gap between theory and actual practice. They wanted more in-depth information about “pregnancy”, “delivery”, “puerperium”, “neonates”, and “emergencies”. These topics reflected the wide range of care needed by the diverse group of Indonesian women who visited government hospital.Conclusions: Indonesian midwives working in a government hospital had difficulties in providing quality care for women with different needs and backgrounds due to the shortage of midwives, and lack of hospital beds and lack of essential equipment. Even though midwives wanted to learn or update their knowledge and skills to fill the gap between theory they learned in school and the demands of actual practice, the opportunity to have training was very limited.
机译：目的：这项初步研究旨在描述印尼助产士在政府医院工作的困难和教育需求，从而为提高分娩护理质量提出可能的解决方案。方法：该研究具有定性的探索性设计。与在政府医院工作的22名印度尼西亚助产士进行了焦点小组讨论。结果：这些印度尼西亚助产士认为他们在提供优质护理方面遇到困难，例如“提供卫生服务的资源短缺”，“缺乏专业继续教育资源”，“循证医学不足”， “由于文化背景而难以提供照料”，以及“挑战教给学生”。因此，这些困难导致他们不确定他们可以提供的护理质量。他们希望继续教育以更新他们的知识和技能，并填补理论与实际实践之间的空白。他们希望获得有关“怀孕”，“分娩”，“产褥期”，“新生儿”和“紧急情况”的更深入的信息。这些主题反映了到公立医院就诊的印度尼西亚妇女群体所需要的广泛护理。结论：由于助产士的短缺，在公立医院工作的印度尼西亚助产士很难为有不同需求和背景的妇女提供优质的护理，缺少医院病床和基本设备。尽管助产士想学习或更新他们的知识和技能，以填补他们在学校学到的理论与实际实践的需求之间的差距，但是接受培训的机会却非常有限。

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